Inmate Healthcare – Legislative Program Evaluation Committee

The Joint Legislative Program Evaluation Committee met on October 8, 2018 to hear from the Program Evaluation Division on recommendations for cost savings regarding inmate health care.

Inmate Health Report 1:Reimbursement Changes Could Save $5.6 Million Annually

Brent Lucas the Senior Evaluator for the Program Evaluation Division provided an overview of the recommendations from the study.

  • Recommendation 1: Establish a position to conduct analysis of performance and cost data.
  • Recommendation 2: Direct the Department of Public Safety (DPS) to establish a formal electronic processes of inventory.
  • Recommendation 3: Direct DPS to develop a plan to increase usage of the Central Prison Healthcare Complex.
  • Recommendation 4: Realign the DPS Health Services budget.
  • Recommendation 5: Modify state law to reduce reimbursement rates paid to outside providers and direct DPS to reduce contractual rates for 2 providers.
  • Recommendation 6: Direct DPS to work with DHHS to obtain federal reimbursement for Medicaid activities.
  • Recommendation 7: Direct DPS Health Services to collect data on Medicaid applications.
  • Recommendation 8: Direct DPS and OSHR to preform a salary study of inmate health care positions.
  • Recommendation 9: Direct DPS to identify services that can be preformed via telemedicine and revive the telemedicine program.

View the draft bills for these recommendations here.

Inmate Health Report 2: Modifications to Pharmacy Purchasing Could Save $13.4 Million Annually

  • Recommendation 1: Direct DPS and UNC-HC to establish a 340B drug purchasing arrangement for inmate medications.
  • Recommendation 2: Require mediations worth more than $1,000 to be administered by staff.
  • Recommendation 3: Require more data collection on losses.
  • Recommendation 4: Require statewide contracts for local medication purchases.

View the draft bills for thee recommendations here.

Inmate Health Report 3: Inadequate Data Collection and Cost Recovery Practices 

  • Recommendation 1: Direct DPS to expand data collection.
  • Recommendation 2: Direct DPS to revise service rates, billing, Medicaid applications and reimbursement practices.
  • Recommendation 3: Change daily rate charges to counties that fail to reassume Safekeepers.
  • Recommendation 4: Prohibit counties not reimbursing the State in a timely manner from sending Safekeepers.
  • Recommendation 5: Modify how Safekeepers are admitted for health purposes.

View the draft bills of these recommendations here.



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